Abstract
In 2015 the Lancet Commission on Global Surgery (LCoGS) argued that surgical care is important to national health systems along with the economic viability of countries. Gajewski and colleagues outlined how the Commission’s blueprint has been implemented in sub-Saharan Africa, including two funded research projects that were integrated into national surgical plans. Here, we outline how the five processes proposed by Gajewski and colleagues are critical to integrate research, policy, and on-the-ground implementation. We also propose that, moving forward, the most pressing adjunct in many low- and middle-income countries (LMICs) may be a better characterization of rural surgical practices through rigorous research along with models that enable lessons to inform national policy.
Highlights
The accompanying article by Gajewski and colleagues[1] is a thoughtful exploration of how Global Surgery 2030: evidence and solutions for achieving health, welfare and economic development[2] published by the Lancet Commission on Global Surgery (LCoGS) has influenced national surgical and anesthesia plans in sub-Saharan Africa
The majority of research on hernia repair, such as the cost-effectiveness[7] and the safety of low-cost or sterilized mosquito net mesh,[8,9] is based in large, regional or teaching hospitals and performed by surgeons. They found that only 37% of hernia repairs were performed under local anesthesia and that majority of physicians and anesthesia providers were unfamiliar with evidence and guidelines that favor this form of anesthesia
The LCoGS offered a compelling argument for the importance of expanding access to safe and affordable surgical and anesthesia care along with a blueprint for moving toward this target
Summary
The accompanying article by Gajewski and colleagues[1] is a thoughtful exploration of how Global Surgery 2030: evidence and solutions for achieving health, welfare and economic development[2] published by the Lancet Commission on Global Surgery (LCoGS) has influenced national surgical and anesthesia plans in sub-Saharan Africa. It focuses on the need for collaboration between ministries of health and systems research stakeholders in the development of national surgical plans.
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callMore From: International journal of health policy and management
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
